| Hector J F Barillas P H D P C | |
|
2102 N Country Club Rd Suite 4 Tucson AZ 85716-2831 | |
| (520) 325-6633 | |
| (520) 325-6644 |
| Full Name | Hector J F Barillas P H D P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 2102 N Country Club Rd, Tucson, Arizona |
| Authorized Official Name and Position | Hector J Fernandez Barillas (OWNER PRESIDENT) |
| Authorized Official Contact | 5203256633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hector J F Barillas P H D P C 1601 N Tucson Blvd Ste 21 Tucson AZ 85716-3407 Ph: (520) 325-6633 | Hector J F Barillas P H D P C 2102 N Country Club Rd Suite 4 Tucson AZ 85716-2831 Ph: (520) 325-6633 |
| NPI Number | 1366576944 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 5890697650 |
|---|---|
| Medicare Enrollment ID | O20040122000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366576944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1320 (Arizona) | Primary |
| Provider Name | Hector Jf Fernandez Barillas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225139850 PECOS PAC ID: 3577464783 Enrollment ID: I20040120000188 |
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